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Escap2011 - M. Verburg - Dr. Leo Kannerhuis 1/4

Dr. Leo Kannerhuis
Dr. Leo Kannerhuis

The document discusses an approach used by the Dr. Leo Kannerhuis Centre for Autism in the Netherlands to treat children with autism spectrum disorder (ASD) and their families. The approach combines clinical treatment, home treatment, and e-treatment to empower families and enable more children to be raised at home. Key aspects of the treatment include focusing on the child's home environment, setting goals for behavior changes, and training parents to better support and manage their child's needs. Evaluation found more children were able to return home after treatment compared to previous methods.

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Combining powers: centre treatment, home treatment and e-treatment for families with ASD A step forward with autism Monique Verburg Bibi Huskens Cisca Aerts Saskia Timmer
Dr. Leo Kannerhuis, Centre for autism Nicolette Collet A step forward with autism Monique Verburg Childrens clinic Ambulant treatment Research&Development Cisca Aerts Bibi Huskens SaskiaTimmer
A step forward with autism Bibi Huskens, Ph.D. Psychologist / researcher [email_address]
Conflict of interest A step forward with autism SPEAKER COMPANY PRODUCT RESEARCH OTHER M. Verburg None None None None B.E.B.M. Huskens None None None None C. Aerts None None None None S. Timmer None None None None
Franchise partners Leo Kannerhuis Nederland A step forward with autism 1. Lentis (Groningen) 2. GGZ Noord-Holland-Noord (Alkmaar) 3. Dr. Leo Kannerhuis (Doorwerth) 4. Dr. Leo Kannerhuis Brabant (Tilburg) 5. De Jutters en Lucertis (Regio Haaglanden)* 6. Mondriaan Zorggroep e.a. (Maastricht)* 7. Altrecht* (Regio Utrecht) *) Intended franchise partners
Mission Dr. Leo Kannerhuis A step forward with autism Specialised psychiatric centre for treatment and expertise for clients with ASD Ensuring optimal development and participation in the community Throughout the life span
Starting points Attending and coaching people and families with ASD In an ASD-specific way Selfmanagement of client and family Treatment in natural environment Empowerment A step forward with autism
Residential treatment of children with ASD Monique Verburg 20 min. ABA training package Monique Verburg 20 min. Psychiatric family treatment for families with ASD Cisca Aerts 20 min. Autism 24/7, self management 24/7 Saskia Timmer 20 min. Discussion 30 min. A step forward with autism
Clinical treatment of children with ASD: empowering child and family. An Introduction Monique Verburg A step forward with autism
Basic questions to parents Reasons why child cant live at home now and is in need for clinical treatment Estimate if raising child at home could be possible in the future Inventarisation of conditions to make growing up at home possible in the future A step forward with autism
Reasons for clinical treatment Aggression Rigidity and being self-absorbed Need of intensive 24-hours support Apparent inability to learn Problems in all life domains A step forward with autism
Obstacles for living at home in future Parental fear of repetition of negative experiences Parents feeling incapable of answering their childs special needs Lack of appropriate school, mental health care or other necessary facilities Family problems Caregivers say raising child at home is not a possibility A step forward with autism
Necessary conditions for raising child at home able to control aggression more flexible and less self-absorbed self - management level more appropriate to calender-age parents feel confident and have more energy appropriate living environment, school, etc. BUT: assumption is often: not realistic A step forward with autism
Credo Our first and most important aim is helping families to feel capable to raise their child at home A step forward with autism
Basic Attitude Making a new start Tuning in on home-situation of child and family Focus: conditions needed to raise child at home Analysing developmental stagnation child-related-, family-related- and environmental factors A step forward with autism
Basic Attitude 2 Thinking out-of-the-box Breaking fixed patterns Supporting in developing new behaviour working on key problems helping child and family to develop their capabilities helping adapting the environment Cooperating intensively with the environment of the necessary conditions. = EMPOWERING child and family A step forward with autism
Basic Assumptions The environment (siblings, school, work, etc.) can be empowered to be able to adapt to the needs of the individual child A step forward with autism Child disruptive behaviour and handicaps and current inability of parents are changeable Children can learn how to integrate their vulnerabilities in their daily lives Parents can become adequately equipped to support the development of their vulnerable child
Treatment process Treatment focus = helping family to have their child back home Working together; partnership family-clinic Focus on home-setting Necessary changes = treatment goals A step forward with autism
Treatment goals child I am able to express my feelings in a proper way I am able to play on myself for half an hour I can be with my brother without excessive fighting I feel good about myself A step forward with autism
Treatment goals parents As parents we are in charge I am able to manage the aggression of my child properly I know how to stimulate my child doing something I want him to As (ex-) partners we are working together A step forward with autism
Environmental factors Appropriate school and leisure possibilities Support from family and friends Time-out setting for weekends and holidays Treatment can continue after leaving the clinic Quick access to appropriate help if needed A step forward with autism
Treatment aspects child Therapeutic living environment Psychoeducation Training modules Psychotherapy Medication A step forward with autism
Treatment aspects family Parents participating in patient-staff meetings Psycho-education Parental training modules Parental guidance by social worker Family therapy, FPA Parents participating incidentally in living group A step forward with autism
Potential of basic treatment method rigid patterns learned helplessness / l child parents environment Positive corrective experiences A step forward with autism
Potential of basic treatment method Can be used in various settings Practical, playful Motivation driven Evidence based Out of the box A step forward with autism
Results July 2008 May 2011 Outstream of 30 children: 15 went home (50%) (before 30%) 12 went to the adolescent clinical treatment settings of the LKH (40 %) 1 went back to the referring authority (3%) 2 went to a residential setting elsewhere (7%) A step forward with autism
Results until now Long term perspective of child and family is central issue Treatment focus is shared by all involved Parents feel confident with treatment vision Better cooperation of family and staff Waiting lists decreased and are in control More children are going home after treatment (but less than we hoped for) A step forward with autism
The essence is not in reaching our goal, but is the pathway we are walking together. A step forward with autism
Dr. Leo Kannerhuis Centre for Autism The Netherlands [email_address] www.leokannerhuis.nl A step forward with autism
Contact Cisca Aerts ( c.aerts@leokannerhuis.nl) Nicolette Collet ( n.collet@leokannerhuis.nl) SaskiaTimmer ( s.timmer@leokannerhuis.nl) Monique Verburg ( m.verburg@leokannerhuis.nl) http:// www.slideshare.net / DrLeoKannerhuis http:// www.slideshare.net / DrLeoKannerhuis / sheets-helsinki A step forward with autism

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Escap2011 - M. Verburg - Dr. Leo Kannerhuis 1/4

  • 1. Combining powers: centre treatment, home treatment and e-treatment for families with ASD A step forward with autism Monique Verburg Bibi Huskens Cisca Aerts Saskia Timmer
  • 2. Dr. Leo Kannerhuis, Centre for autism Nicolette Collet A step forward with autism Monique Verburg Childrens clinic Ambulant treatment Research&Development Cisca Aerts Bibi Huskens SaskiaTimmer
  • 3. A step forward with autism Bibi Huskens, Ph.D. Psychologist / researcher [email_address]
  • 4. Conflict of interest A step forward with autism SPEAKER COMPANY PRODUCT RESEARCH OTHER M. Verburg None None None None B.E.B.M. Huskens None None None None C. Aerts None None None None S. Timmer None None None None
  • 5. Franchise partners Leo Kannerhuis Nederland A step forward with autism 1. Lentis (Groningen) 2. GGZ Noord-Holland-Noord (Alkmaar) 3. Dr. Leo Kannerhuis (Doorwerth) 4. Dr. Leo Kannerhuis Brabant (Tilburg) 5. De Jutters en Lucertis (Regio Haaglanden)* 6. Mondriaan Zorggroep e.a. (Maastricht)* 7. Altrecht* (Regio Utrecht) *) Intended franchise partners
  • 6. Mission Dr. Leo Kannerhuis A step forward with autism Specialised psychiatric centre for treatment and expertise for clients with ASD Ensuring optimal development and participation in the community Throughout the life span
  • 7. Starting points Attending and coaching people and families with ASD In an ASD-specific way Selfmanagement of client and family Treatment in natural environment Empowerment A step forward with autism
  • 8. Residential treatment of children with ASD Monique Verburg 20 min. ABA training package Monique Verburg 20 min. Psychiatric family treatment for families with ASD Cisca Aerts 20 min. Autism 24/7, self management 24/7 Saskia Timmer 20 min. Discussion 30 min. A step forward with autism
  • 9. Clinical treatment of children with ASD: empowering child and family. An Introduction Monique Verburg A step forward with autism
  • 10. Basic questions to parents Reasons why child cant live at home now and is in need for clinical treatment Estimate if raising child at home could be possible in the future Inventarisation of conditions to make growing up at home possible in the future A step forward with autism
  • 11. Reasons for clinical treatment Aggression Rigidity and being self-absorbed Need of intensive 24-hours support Apparent inability to learn Problems in all life domains A step forward with autism
  • 12. Obstacles for living at home in future Parental fear of repetition of negative experiences Parents feeling incapable of answering their childs special needs Lack of appropriate school, mental health care or other necessary facilities Family problems Caregivers say raising child at home is not a possibility A step forward with autism
  • 13. Necessary conditions for raising child at home able to control aggression more flexible and less self-absorbed self - management level more appropriate to calender-age parents feel confident and have more energy appropriate living environment, school, etc. BUT: assumption is often: not realistic A step forward with autism
  • 14. Credo Our first and most important aim is helping families to feel capable to raise their child at home A step forward with autism
  • 15. Basic Attitude Making a new start Tuning in on home-situation of child and family Focus: conditions needed to raise child at home Analysing developmental stagnation child-related-, family-related- and environmental factors A step forward with autism
  • 16. Basic Attitude 2 Thinking out-of-the-box Breaking fixed patterns Supporting in developing new behaviour working on key problems helping child and family to develop their capabilities helping adapting the environment Cooperating intensively with the environment of the necessary conditions. = EMPOWERING child and family A step forward with autism
  • 17. Basic Assumptions The environment (siblings, school, work, etc.) can be empowered to be able to adapt to the needs of the individual child A step forward with autism Child disruptive behaviour and handicaps and current inability of parents are changeable Children can learn how to integrate their vulnerabilities in their daily lives Parents can become adequately equipped to support the development of their vulnerable child
  • 18. Treatment process Treatment focus = helping family to have their child back home Working together; partnership family-clinic Focus on home-setting Necessary changes = treatment goals A step forward with autism
  • 19. Treatment goals child I am able to express my feelings in a proper way I am able to play on myself for half an hour I can be with my brother without excessive fighting I feel good about myself A step forward with autism
  • 20. Treatment goals parents As parents we are in charge I am able to manage the aggression of my child properly I know how to stimulate my child doing something I want him to As (ex-) partners we are working together A step forward with autism
  • 21. Environmental factors Appropriate school and leisure possibilities Support from family and friends Time-out setting for weekends and holidays Treatment can continue after leaving the clinic Quick access to appropriate help if needed A step forward with autism
  • 22. Treatment aspects child Therapeutic living environment Psychoeducation Training modules Psychotherapy Medication A step forward with autism
  • 23. Treatment aspects family Parents participating in patient-staff meetings Psycho-education Parental training modules Parental guidance by social worker Family therapy, FPA Parents participating incidentally in living group A step forward with autism
  • 24. Potential of basic treatment method rigid patterns learned helplessness / l child parents environment Positive corrective experiences A step forward with autism
  • 25. Potential of basic treatment method Can be used in various settings Practical, playful Motivation driven Evidence based Out of the box A step forward with autism
  • 26. Results July 2008 May 2011 Outstream of 30 children: 15 went home (50%) (before 30%) 12 went to the adolescent clinical treatment settings of the LKH (40 %) 1 went back to the referring authority (3%) 2 went to a residential setting elsewhere (7%) A step forward with autism
  • 27. Results until now Long term perspective of child and family is central issue Treatment focus is shared by all involved Parents feel confident with treatment vision Better cooperation of family and staff Waiting lists decreased and are in control More children are going home after treatment (but less than we hoped for) A step forward with autism
  • 28. The essence is not in reaching our goal, but is the pathway we are walking together. A step forward with autism
  • 29. Dr. Leo Kannerhuis Centre for Autism The Netherlands [email_address] www.leokannerhuis.nl A step forward with autism
  • 30. Contact Cisca Aerts ( c.aerts@leokannerhuis.nl) Nicolette Collet ( n.collet@leokannerhuis.nl) SaskiaTimmer ( s.timmer@leokannerhuis.nl) Monique Verburg ( m.verburg@leokannerhuis.nl) http:// www.slideshare.net / DrLeoKannerhuis http:// www.slideshare.net / DrLeoKannerhuis / sheets-helsinki A step forward with autism

Editor's Notes

  • #2: Wat is het mooist: alles deze kleur blauw (en dan met gele vinkjes) of zoals dia 13: koppen zwart en de rest grijs-blauw (en met grijs-blauwe of andere bolletjes?)? Graag alle dias gelijk maken.
  • #3: Graag bij deze dia zelfde invliegeffect als op dia 3 (dus 1: Cisca, 2: Saskia, 3: Monique, 4: Bibi, 5: Nicolette)
  • #14: Onderste zin graag invliegen
  • #15: Graag ruimte tussen regels
  • #18: Graag punten 1 voor 1 invliegen en mogelijk alineas iets uit elkaar; evt. op 2 dias?